Kendra Jean- Kolasinski

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61375418 Issued in WA

Practice address

1011 W Stewart Apt 24
Puyallup, WA 98371-5158

Phone

(425) 545-0200

NPI assigned

Nov 15, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Four Directions Massage PLLC

  • Massage Therapist
  • Enumclaw, WA
  • NPI 1376387951
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1831808237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W STEWART APT 24",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W STEWART APT 24",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715158",
            "telephone_number": "425-545-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLASINSKI",
        "first_name": "KENDRA",
        "middle_name": "JEAN-",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61375418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Matthew Ko, D.M.D.
• Heidi Koch, COTA/L
• Brenda F Kodama, MD
• Laura Koehler-Davidson, LMT
• Isabell C Kohn
• Sofia Yurjevna Kolesnikova, ARNP
• Paulina Kome
• Jenda M Kong III
• Jessica Nicole Kongslie, LMT
• Dinel Rose Konrad, LMP

• Massage Therapist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.